WTC debris inspection form, 85 Nassau Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10 0 t 2 t2-. Premise Address:

Block: iq Residential jJ Commercial jJ Name of Building: Lot: Mix Use J Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: - Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed Q Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes Visual Inspection Results: Facade: Inspected Debris North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" South QN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%2to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/to1" 0>1" West ❑N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑ Va to 1" 0>1" Facade Description:

Roof ,jst

Debris: ❑ No Visible /Fin yer Description: dE•+

Setbacks N/A' Floor. Debris: 0 No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor. Debris: ❑ No VSible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No VSible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1" ' Floor. Debris: ❑ No Visible/Fine Layer 0 A to 1" ❑ > 1"

Comment —r

Date: 9 / ' —/2002 Inspection Team: Name: Agency: Name: Agency: IV NYC-WTC 000099438